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Breast Ultrasound (Limited, One Breast)

Indiana rates for HCPCS 76642

A focused ultrasound exam of one breast that looks at a specific area of concern, such as a lump or an abnormality found on a prior mammogram, rather than scanning the entire breast. It uses sound waves to create images that can help distinguish a fluid-filled cyst from a solid mass. It's a narrower exam than a complete breast ultrasound covering the whole breast.

Rates data updated July 2026.

How much does Breast Ultrasound (Limited, One Breast) cost?

$97.72

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $347 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$83.18$77.62 to $115
FacilityA hospital or hospital-owned outpatient department$347$120 to $427

How much rates vary

Facilitymedian $347 · 10th to 90th $85 to $589Professionalmedian $83 · 10th to 90th $62 to $162
$50$100$200$500$1Kfacility $347professional $83

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$389.05
Typical High
$588.84
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$30.20
Median
$38.90
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$79.43
Typical High
$162.18
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$31.62
Typical High
$61.66
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$93.33
Median
$234.42
Typical High
$616.60
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$43.65
Median
$50.12
Typical High
$100.00
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$77.62
Typical High
$154.88
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.99
Median
$30.20
Typical High
$56.23
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$93.33
Median
$93.33
Typical High
$100.00
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$37.15
Median
$70.79
Typical High
$95.50
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$234.42
Typical High
$346.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$83.18
Typical High
$134.90
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$33.11
Typical High
$53.70
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$114.82
Median
$123.03
Typical High
$199.53
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$47.86
Median
$50.12
Typical High
$81.28
CareSource
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$57.54
Typical High
$100.00
CareSource
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$51.29
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$346.74
Typical High
$346.74
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$7.94
Median
$37.15
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$107.15
Typical High
$165.96
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$27.54
Median
$41.69
Typical High
$63.10
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$43.65
Median
$64.57
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$74.13
Typical High
$177.83
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$93.33
Typical High
$162.18
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$37.15
Typical High
$70.79
United
Setting
Professional
Modifier
50 · Both sides
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$45.71
Median
$56.23
Typical High
$95.50

Where Indiana sits

The same service costs 3.5 times more in West Virginia than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Indiana· 30th of 51

$97.72

WV $309AL $87.10

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.